What should the nurse include in the patient education about cast care?
Avoid moving the cast to relieve itching.
Use a hairdryer on a warm setting to dry the inside of the cast.
Stick objects under the cast to scratch the skin.
Remove the cast if it becomes loose.
The Correct Answer is A
It is essential for the patient to avoid moving the cast to relieve itching as this can lead to skin breakdown, discomfort, and improper healing. The nurse should instruct the patient to use cool air or apply ice packs on the outside of the cast to alleviate itching without disturbing the cast's positioning.
b. Using a hairdryer on a warm setting to dry the inside of the cast is not recommended. The heat can cause discomfort and may not effectively dry the interior of the cast, leading to skin irritation and potential infection.
c. Sticking objects under the cast to scratch the skin can damage the skin and introduce bacteria, increasing the risk of infection. The patient should be instructed not to insert any objects under the cast.
d. Removing the cast if it becomes loose is not within the patient's scope of practice. If the cast becomes loose or uncomfortable, the patient should seek immediate medical attention for evaluation and adjustment by a healthcare professional.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should instruct the patient to avoid placing any objects under the cast to prevent skin irritation, damage to the cast, and potential introduction of bacteria or contaminants.
a. Encouraging the patient to frequently remove the cast for skin care is not recommended, as it can compromise the cast's fit and function and increase the risk of complications.
b. Advising the patient to use a hairdryer on the cast to relieve itching is not recommended, as it can cause skin maceration and damage the cast.
d. Educating the patient to keep the cast exposed to air for prolonged periods is not recommended, as dirt and debris can get trapped inside the cast, increasing the risk of infection. The patient should follow the healthcare provider's instructions for cast care.
Correct Answer is A
Explanation
Localized swelling and bruising are common signs of inflammation and injury at the fracture site. They may indicate the presence of a fracture, especially if the patient experienced trauma or a fall.
b. Warmth and redness at the site: Warmth and redness are signs of inflammation, but they are not specific to fractures and can occur in various musculoskeletal conditions.
c. Absence of pain with movement: Absence of pain with movement is not a typical finding in fractures. Fractures usually cause pain, especially with movement.
d. Increased range of motion at the joint: Increased range of motion may occur in some injuries, but it is not a reliable indicator of a fracture, especially if there is swelling and bruising present.
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